Michael Seymour, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1814 Issued in AK

Practice address

PRB 9, Spine Road Drop Point 51
Prudhoe Bay, AK 99734

Phone

(907) 659-5239

NPI assigned

Jun 29, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Logan Health - WhitefishGroup PAC ID 9335033687, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krmcmedicalrecords@krhdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Logan Health - Whitefish

  • General Practice Physician
  • Whitefish, MT
  • NPI 1356317432

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Clinic Services of California Medical Group Inc

  • Emergency Medicine Physician
  • Lodi, CA
  • NPI 1578958450
  Medicare reassignment
• Kalispell Regional Medical Center Inc

  • General Acute Care Hospital
  • Kalispell, MT
  • NPI 1417945627
  Medicare reassignment
• Logan Health - Whitefish

  • Critical Access Hospital
  • Whitefish, MT
  • NPI 1396710851
  Medicare reassignment
• South Coast Emergency Medical Group

  • Emergency Medicine Physician
  • Anaheim, CA
  • NPI 1831294594
  Medicare reassignment
• Team Physicians of California Medical Group Inc

  • Emergency Medicine Physician
  • Delano, CA
  • NPI 1447288345
  Medicare reassignment
• Kalispell Regional Medical Center Inc

  • Family Medicine Physician
  • Kalispell, MT
  • NPI 1356394944
  NPD
• Kalispell Regional Medical Center, Inc

  • Radiology Clinic/Center
  • Whitefish, MT
  • NPI 1073362463
  NPD
• Logan Health - Whitefish

  • Psychiatry Physician
  • Whitefish, MT
  • NPI 1487085098
  NPD
• Logan Health - Whitefish

  • Rural Health Clinic/Center
  • Eureka, MT
  • NPI 1336115849
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1215134440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 FALLS LOOP",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599124513",
            "telephone_number": "406-755-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRB 9, SPINE ROAD DROP POINT 51",
            "city": "PRUDHOE BAY",
            "state": "AK",
            "postal_code": "99734",
            "telephone_number": "907-659-5239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Sunnyview Ln",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013129",
            "country_code": "US",
            "telephone_number": "406-752-1733",
            "fax_number": "406-752-7854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Rea Ln",
            "address_purpose": "LOCATION",
            "city": "West Glacier",
            "state": "MT",
            "postal_code": "599367762",
            "country_code": "US",
            "telephone_number": "406-888-9924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1045 Glades Dr",
            "address_purpose": "LOCATION",
            "city": "Whitefish",
            "state": "MT",
            "postal_code": "599379169",
            "country_code": "US",
            "telephone_number": "406-862-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "382",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "1814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8442238",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "310 Sunnyview Ln",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beacon Occupational Health Safety Services
• Deborah Lena Coolidge, PA-C

• Physician Assistant in Prudhoe Bay, AK
• Providers in Prudhoe Bay, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.